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Organization

ANNAPOLIS CHILDREN'S THERAPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE MICHELLE HILLMANN PRENTICE PT (OWNER)
(410) 573-1064
Entity
Organization

Contact information

Practice address
1350 BLAIR DR # H1, ODENTON, MD 21113-1333
(410) 573-1064
Mailing address
1911 LINCOLN DR, ANNAPOLIS, MD 21401-4118
(410) 573-1064
(410) 573-1065

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/14/2019
Last updated
07/14/2023
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